Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK WILLIAM GORDON, MD
ActiveJACK WILLIAM GORDON, MD is a Internal Medicine healthcare provider located in CROSBY, Minnesota. NPI 1578595427 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · CROSBY, MN
Registration Details
- NPI Number
- 1578595427
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2006 (19.918449014953 yrs)
- Last Updated
- Oct 30, 2014
- License
-
39563 (MN)
Practice Information
- Address
-
320 EAST MAIN STREETCROSBY, MN, 56441Browse MN providers · Browse ZIP 56441
- Phone
- 2185467000
- Fax
- 2185464400
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in CROSBY, MN
| Name | Credential | NPI |
|---|---|---|
| ANGELINA G AUSBAN | MD | 1891776837 |
| GEORGE ADOLPH KUHLMANN | MD | 1891770244 |
| DR. RAJESH BHARGAVA | MD | 1013995802 |
| ROBERT COOPER | MD | 1356396394 |
| LAURA E. RATHE | MD | 1982702874 |
| DR. MARK O BOSTROM | DO | 1902990419 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.